LAURIE N POLAGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150135

License Status

INACTIVE

Business

First Name

LAURIE N

Last Name

POLAGE

Business Name

LAURIE N POLAGE

Original Issue Date

10/03/1973

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

ALTONA

State

Zip

61414

County

KNOX

Ever Disciplined

LastModifiedDate

03/08/2012